Organization Active NPI

Imad Mikhail Medical PLLC

  • Internal Medicine Physician
  • West Hempstead, NY
National Provider Identifier
1366224347
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
IMAD MIKHAIL MEDICAL PLLC
Practice address
510 Hempstead Tpke RM 207
West Hempstead, NY 11552-1152
Phone
(516) 486-1953
NPI assigned
Oct 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Imad MikhailNPI 1962573220
Title
MD
Phone
(516) 486-1953

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

510 Hempstead Tpke RM 207
West Hempstead, NY 11552-1152

Mailing address

510 Hempstead Tpke RM 207
West Hempstead, NY 11552-1152

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231120002162 NY Part B Supplier - Clinic/Group Practice 7113375791 Receives reassigned benefits from 1 practitioner
Practice locations: West Hempstead, NY

National Provider Directory

National Provider Directory

Locations

510 Hempstead Tpke
Rm 207
West Hempstead, NY 11552
Phone (516) 486-1953

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1366224347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 HEMPSTEAD TPKE RM 207",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115521152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 HEMPSTEAD TPKE RM 207",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115521152",
            "telephone_number": "516-486-1953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAD MIKHAIL MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A",
        "authorized_official_last_name": "MIKHAIL",
        "authorized_official_first_name": "IMAD",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "516-486-1953"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hempstead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.